The US House of Representatives approved by a vote of 230 to 196 a three-year extension of the increased subsidies (premium credits) for insurance under the Affordable Care Act (ACA).[3] All Democrats and 17 Republicans voted in favor of the proposal, with five Republicans abstaining.[3] The vote came after subsidies expired and millions of people with insurance through the ACA saw their premiums rise sharply, highlighting the issue of health care affordability.[3] The Congressional Budget Office estimates that a three-year extension would increase the federal deficit by about $80.6 billion over the next decade.[1] The same estimates indicate that the number of insured people would increase by 100,000 people in 2026, by 3 million in 2027, by 4 million in 2028, and by 1.1 million in 2029 compared to the current status.[4][5] The approved proposal now heads to the Senate, where bipartisan negotiations are underway on a possible compromise solution.[3]